Active NPI
Kaitlyn Mae Jones, CNM
- Advanced Practice Midwife
- Albuquerque, NM
National Provider Identifier
1053914945
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Advanced Practice Midwife
- License
- 812
- Practice address
- 4630 Eubank Blvd NE
Albuquerque, NM 87111-2552 - Phone
- (800) 230-7526
- NPI assigned
- Nov 21, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 65232 | NM | |
| Women's Health Nurse Practitioner | 363LW0102X | 65232 | NM | |
| Advanced Practice Midwife | 367A00000X | 812 | NM | Primary |
Addresses
Primary practice location
4630 Eubank Blvd NE
Albuquerque, NM 87111-2552
Mailing address
7708 4TH St NW
Los Ranchos, NM 87107-6510
Phone (505) 924-2229
Other practice location 1
7708 4th St NW
Los Ranchos, NM 87107-6510
Phone (505) 924-2229
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 42855829 | Medicaid | NM |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in UT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210322000614 | UT | Practitioner - Certified Nurse Midwife (CNM) | 9335556265 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Midwife
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 812 | NM | MD | Acupuncturist |
| 65232 | NM | MD | Women's Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Utah Adult Services | Current | Accepting new patients | |
| University of Utah Adult Services | Current | Accepting new patients | |
| University of Utah Adult Services | Current | Accepting new patients | |
| Dar a Luz Birth & Health Center | Past | Accepting new patients | |
| Planned Parenthood of the Rocky Mountains, Inc | Past | Accepting new patients | |
| Dar a Luz Birth & Health Center | Past | Accepting new patients |
Locations
50 N Medical Dr
Slc, UT 84132
Phone (801) 581-2292
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Diagnostic Radiology Physician
- Salt Lake City, UT
- NPI 1598169419
-
- Anatomic Pathology & Clinical Pathology Physician
- Salt Lake City, UT
- NPI 1912301714
-
- Birthing Clinic/Center
- Los Ranchos, NM
- NPI 1023569779
-
- Midwife
- Los Ranchos, NM
- NPI 1124281696
-
- Ambulatory Family Planning Facility
- Albuquerque, NM
- NPI 1851440945
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1605916800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1742428800000",
"number": "1053914945",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7708 4TH ST NW",
"city": "LOS RANCHOS",
"state": "NM",
"postal_code": "871076510",
"telephone_number": "505-924-2229"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4630 EUBANK BLVD NE",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871112552",
"telephone_number": "800-230-7526"
}
],
"practiceLocations": [
{
"address_1": "7708 4th St NW",
"address_purpose": "LOCATION",
"city": "Los Ranchos",
"state": "NM",
"postal_code": "871076510",
"country_code": "US",
"telephone_number": "505-924-2229",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JONES",
"first_name": "KAITLYN",
"middle_name": "MAE",
"credential": "CNM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-11-21",
"last_updated": "2025-03-20",
"certification_date": "2025-03-20",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NM",
"license": "65232",
"primary": false
},
{
"code": "363LW0102X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Women's Health",
"state": "NM",
"license": "65232",
"primary": false
},
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "NM",
"license": "812",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "42855829",
"state": "NM"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Albuquerque, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.